Autumn Kallock
NPI 1538905427 · Speech-Language Pathologist · East Grand Forks, MN
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Autumn Kallock is a Speech-Language Pathologist provider in East Grand Forks, MN (NPI 1538905427).
Provider details
- NPI number
- 1538905427
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2656 (ND)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2951 S 34th StGrand Forks, ND 58201-6061Phone: (701) 772-3851
- 2200 Library CirGrand Forks, ND 58201-6326Phone: (701) 757-2155Fax: (701) 757-2156
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Autumn Kallock's NPI number?
- Autumn Kallock's National Provider Identifier (NPI) is 1538905427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Autumn Kallock's specialty?
- Autumn Kallock is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Autumn Kallock located?
- Autumn Kallock's practice location on file with NPPES is 1420 4th Ave Nw, East Grand Forks, MN 56721-1522.
- What is Autumn Kallock's phone number?
- The practice phone number listed in the NPPES registry for Autumn Kallock is (218) 773-3494.
- Does Autumn Kallock accept Medicare?
- Autumn Kallock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Autumn Kallock's NPI active?
- Yes — Autumn Kallock's NPI (1538905427) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.